







Free To Grow
Mailman School
of Public Health
Columbia University
722 West 168th Street,
8th Floor
New York, NY 10032
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Health education and prevention: Designing community initiatives
Lawrence Wallack and Nina Wallerstein
The health of an individual and community are related. Prevention efforts must not only include health promotion but also health protection, disease prevention, and community organization. Programs that simply try to "fix" the individual do not address illness in its larger context. The authors suggest an integrated approach to health promotion and disease prevention that combines individual and social responsibility with comprehensive, long-term planning. The stages of planning include learning about and becoming involved with a community, identifying and analyzing problems, and developing community-driven initiatives. Also, since individuals involved in planning health promotion programs make assumptions about other people, which problems to tackle, and program effectiveness, planners should first identify and analyze their own assumptions. The concept of force field analysis, a method used to pinpoint factors that facilitate or hinder action, is introduced. Health education is one facilitating factor in prevention planning.
International Quarterly of Community Health Education, 1987, 7(4): 319-342
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